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ibtootie 4,404 Views

Joined: Dec 27, '10; Posts: 77 (6% Liked) ; Likes: 20

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  • May 9 '14

    This solely depends on the MA plan. 'though some may require a RUG score to pay, majority demands clinical documentation only. If a plan does require a RUG score, I strongly doubt they adhere to the same stringent PPS requirement for ARD windows.

  • Nov 13 '13

    30 days is correct. Our policy is within 5 days. The physician must sign the orders, not the NP.

  • Nov 13 '13

    I have the regulation hanging on my wall at work. I'll post it here tomorrow.

  • Oct 21 '11

    I say you can choose day 5, 6 or 7 for 5-day ARD, combined with EOT( day 1 , 2 or 3 from last day of therapy). No SOT because it is not a short stay. No COT Observation follows because therapy had ended. You will get paid rehab RUG for days 1-4 when therapy is on, then nursing RUG for day 5 (10/15) onwards considering the patient is still skilled for IV meds and surgical wounds/post amputation.

  • Oct 21 '11

    Well, doing an EOT will only depend on what that first RUG is, if it is a rehab RUG then yes you will need it, if there aren't enough minutes, or the ADLs are low the initial RUG may be a nursing one, in that case, an EOT to switch from rehab to nursing isn't required.